Use of Sensory Substitution to Improve Arm Control After Stroke

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorMarquette University

About this trial

Supplementing or augmenting sensory information to those who have lost proprioception after stroke could help improve functional control of the arm. Thirty subjects will be recruited to a single site to evaluate the ability of supplemental kinesthetic feedback (a form of vibrotactile stimulation) to improve motor function. Participants will be tested in performing reaching movements as well as more functional tasks such as simulated drinking from a glass

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

stroke survivors who can perform our stabilization and grip modulation tasks and who

had a single ischemic or hemorrhagic stroke of the middle cerebral artery (MCA) in the chronic state of recovery (> 6 months post-stroke).

ability to give informed consent and be able to follow two-stage instructions.

mild-to-moderate motor impairment as assessed using the upper extremity (UE) portion of the Fugl-Meyer Motor Assessment (FM); i.e., UE-FM score between 28 and 50 (inclusive) out of a possible 66.

Disqualifiers

Inability of subjects to give informed consent or follow two-stage instructions.

subjects with a bleeding disorder.

subjects with fixed contractures or a history of tendon transfer in the involved limb.

subjects with a diagnosis of myasthenia gravis, amyotrophic lateral sclerosis or any disease that might interfere with neuromuscular function.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Vibrotactile stimulation

    Behavioral

    Non-invasive, computer-controlled miniature tendon vibrators, similar to those used in off-the-shelf activity monitors.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Stroke Cohort - Progressive TrainingExperimental treatment 1 intervention
Group B: Stroke Cohort - Whole Task TrainingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Root Mean Square Kinematic Error

orthogonal distance between target and hand position during reaching and stabilizing

Time frame
across experimental sessions spanning a typical time frame of 4 to 6 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

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Marquette University

Lead sponsor

Medical College of Wisconsin

Collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator